Individual
JOSE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
139 S 199TH ST, DES MOINES, WA 98148-2444
(206) 453-8671
Mailing address
139 S 199TH ST, DES MOINES, WA 98148-2444
(206) 453-8671
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC-55494
WA
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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